HER2 expression predicts improved survival in patients with cervical node-positive head and neck squamous cell carcinoma

Otolaryngol Head Neck Surg. 2009 Oct;141(4):467-73. doi: 10.1016/j.otohns.2009.06.747.

Abstract

Objective: To investigate the prognostic value of HER2 and p63 expression in head and neck squamous cell carcinoma (HNSCC).

Study design: A case review of 186 HNSCCs from the oral tongue, palate, maxillary sinus, floor of mouth, oropharynx, hypopharynx, and larynx.

Subjects and methods: All primary tumor specimens were evaluated by immunohistochemistry for HER2 and p63 expressions, which were correlated with clinical parameters including age, sex, grade, lymph node metastases, stage, and survival.

Results: One hundred forty-one patients had stage III-IV disease and 109 had lymph node metastases. For all cases, T and N stages were significant prognostic predictors for both overall and disease-free survivals. In the node-positive subgroup, T stage and HER2 expression were significant prognostic predictors for both overall and disease-free survivals.

Conclusion: HER2 may be associated with longer survival in node-positive patients with HNSCC.

MeSH terms

  • Biomarkers, Tumor / analysis*
  • Carcinoma, Squamous Cell / chemistry
  • Carcinoma, Squamous Cell / mortality*
  • Carcinoma, Squamous Cell / pathology
  • Female
  • Head and Neck Neoplasms / chemistry
  • Head and Neck Neoplasms / mortality*
  • Head and Neck Neoplasms / pathology
  • Humans
  • Lymphatic Metastasis
  • Male
  • Middle Aged
  • Neck
  • Prognosis
  • Receptor, ErbB-2 / analysis*
  • Survival Analysis
  • Survival Rate
  • Trans-Activators / analysis
  • Transcription Factors
  • Tumor Suppressor Proteins / analysis

Substances

  • Biomarkers, Tumor
  • TP63 protein, human
  • Trans-Activators
  • Transcription Factors
  • Tumor Suppressor Proteins
  • Receptor, ErbB-2